ICD-10 Coding for Pleuritic Chest Pain(R07.1)
Complete ICD-10-CM coding and documentation guide for Pleuritic Chest Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Pleuritic Chest Pain
R07-R09Primary Range
Symptoms and signs involving the circulatory and respiratory systems
This range includes codes for various types of chest pain, including pleuritic chest pain.
Other diseases of pleura
This range includes codes for pleural effusion and other pleural conditions that may cause pleuritic chest pain.
Key Information: ICD-10 code for pleuritic chest pain
Essential facts and insights about Pleuritic Chest Pain
Primary ICD-10-CM Code for pleuritic chest pain
Decision Criteria
clinical Criteria
- Pain worsens with inspiration or coughing
documentation Criteria
- Presence of pleural rub or imaging findings
Applicable To
- Pleuritic pain
Excludes
- Musculoskeletal chest pain (R07.89)
Clinical Validation Requirements
- Sharp pain worse on inspiration
- Pleural rub on auscultation
- Imaging showing pleural effusion
Code-Specific Risks
- Confusion with musculoskeletal pain if not documented properly
Coding Notes
- Ensure documentation specifies the respiratory link to the pain.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Pleuritic Chest Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R07.1.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Train staff to document specific pain characteristics.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies pain is linked to breathing.
Impact
Lack of specificity in documentation can lead to audit issues.
Mitigation Strategy
Ensure detailed documentation of pain characteristics and related findings.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Pleuritic Chest Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Pleuritic Chest Pain
Use these documentation templates to ensure complete and accurate documentation for Pleuritic Chest Pain. These templates include all required elements for proper coding and billing.
Emergency Department Visit
Specialty: Emergency MedicineRequired Elements
- History of present illness
- Physical examination findings
- Imaging results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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